NPIMap

Individual provider Active NPI

Ilya Kleyn, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1851327092
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215006 Issued in NY
Practice address
225 Broadway Ste 1420
New York, NY 10007-3771
Phone
(212) 571-5000
Fax
(212) 571-5001
NPI assigned
Jun 22, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215006 NY Primary

Addresses

Primary practice location

225 Broadway Ste 1420
New York, NY 10007-3771

Mailing address

699 Stanley Ave
Brooklyn, NY 11207-7905
Phone (347) 689-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000834 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890777304 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Community Physicians PCGroup PAC ID 4183055882, 2 clinicians
Salut Medical PCGroup PAC ID 8820385107, 3 clinicians
Modern Medical PCGroup PAC ID 2769458090, 7 clinicians
Nyc Medical Doctor P.C.Group PAC ID 2961669643, 9 clinicians

Practice addresses (Care Compare)

Forest Hills, NY 11375
Phone (516) 238-6069

1837 E 17TH St
Apt 5a
Brooklyn, NY 11229-2948
Phone (917) 554-5735

225 Broadway
Suite 910
New York, NY 10007-3008
Phone (212) 571-5000

699 Stanley Ave
Brooklyn, NY 11207-7905
Phone (347) 689-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
43.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Community Physicians PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Salut Medical PC CurrentSince Jul 10, 2016 Accepting new patients
Modern Medical PC CurrentSince Sep 29, 2003 Accepting new patients
Nyc Medical Doctor P.C. CurrentSince Nov 28, 2011 Accepting new patients
CMC Housestaff Past Accepting new patients
Island of Health Medical PC PastSince Oct 1, 2006 Accepting new patients

Locations

53 Ocean Ave
Bay Shore, NY 11706
Phone (516) 263-3188

699 Stanley Ave
Brooklyn, NY 11207
Phone (347) 689-8880

699 Stanley Ave
#D
Brooklyn, NY 11207
Phone (347) 689-8880

1 Maiden Ln
Fl 4
New York, NY 10038
Phone (212) 791-3388

225 Broadway
Ste 1420
New York, NY 10007
Phone (212) 349-1246

225 Broadway
Ste 910
New York, NY 10007
Phone (212) 571-5000

Interoperability endpoints

  • Direct secure messaging: ikleyn364715@northwell.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1851327092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077905",
            "telephone_number": "347-689-8880",
            "fax_number": "212-571-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1420",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073771",
            "telephone_number": "212-571-5000",
            "fax_number": "212-571-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEYN",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.